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1902378722
ETHERIDGE COMPLETE DENTISTRY LLC
LEES SUMMIT, MO
NPI
1902378722
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Entity Type
Organization
Authorized Contact
DANA CHRISTIAN
Office Manager
816-525-1655
Organization Subpart ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
Enumeration Date
2018-12-18
Last Update Date
2018-12-18
Business Address
ETHERIDGE COMPLETE DENTISTRY LLC
818 NW PARK LN
LEES SUMMIT, MO 64063-1880
Phone number: 816-525-1655
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Mailing Address
ETHERIDGE COMPLETE DENTISTRY LLC
818 NW PARK LN
LEES SUMMIT, MO 64063-1880
Phone number: 816-525-1655
Copy
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